CAPITOL CHIROMED, LTD. (NPI# 1306811336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306811336 |
| Entity Type | Organization |
| Organization Name | CAPITOL CHIROMED, LTD. |
| Other Organization Name | CAPITOL CHIROPRACTIC HEALTH CENTER |
| Practice Address |
3631 S 6th St Suite B Springfield IL 62703-4777 |
| Practice Telephone | 2173915446 |
| Practice Fax Number | 2175856720 |
| Mailing Telephone | 2173915446 |
| Mailing Fax Number | 2175856720 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2007-10-23 |
| Authorized Official Name | DR. MICHELLE OLIVER (OFFICE MANAGER) |
| Authorized Official Telephone | 2173915446 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD # | 08423460 | 01 |
| Other Name | Type Code |
|---|---|
| Capitol Chiropractic Health Center | Doing Business As Name - Organization |
| Street Address |
3631 S 6TH ST SUITE B |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-4777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100994 | Jacob Glenn Parish | Specialist/Technologist | 3631 S 6th St, Springfield, IL 62703-4777 | 2018-07-03 |
| 1588102313 | Deborah Horton | Nurse Practitioner | 3631 S 6th St, Springfield, IL 62704 | 2017-01-31 |
| 1316498165 | Illini Cares | General Practice | 3631 S 6th St, Suite D, Springfield, IL 62703-4777 | 2016-10-17 |
| 1265819379 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 3631 S 6th St, Springfield, IL 62703-4777 | 2015-04-28 |
| 1801209762 | Kevin Andrew Imhoff | Chiropractor | 3631 S 6th St, Suite B, Springfield, IL 62703-4777 | 2014-06-09 |
| 1043569114 | Stephanie Domagalski | Physical Therapist | 3631 S 6th St, Springfield, IL 62703-4777 | 2012-09-05 |
| 1699021444 | Chelsea Wright | Physical Therapist | 3631 S 6th St, Springfield, IL 62703-4777 | 2012-07-31 |
| 1932455649 | Gregg Sams | Physical Therapist | 3631 S 6th St, Springfield, IL 62703-4777 | 2012-07-31 |
| 1609121466 | Jennifer Lee Shurtz | Specialist/Technologist | 3631 S 6th St, Springfield, IL 62703-4777 | 2012-07-18 |
| 1205181906 | Peter Martin Stoll | Specialist/Technologist | 3631 S 6th St, Suite B, Springfield, IL 62703-4777 | 2012-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140616 | Springfield Chiropractic LLC | Chiropractor | 505 N Laurel St, Springfield, GA 31329-6815 | 2020-10-08 |
| 1578179412 | James Crawford | Chiropractor | 2144 E Republic Rd Ste A104, Springfield, MO 65804-4645 | 2020-09-16 |
| 1982218103 | Western Mass Chiropractic PC | Chiropractor | 275 Bicentennial Hwy Ste 211, Springfield, MA 01118-1965 | 2020-09-04 |
| 1730725425 | Chiro One Wellness Center of Springfield, LLC | Chiropractor | 3409 Freedom Dr Ste 150a, Springfield, IL 62704-6517 | 2019-11-18 |
| 1508408493 | Amrit Justin Jhauj | Chiropractor | 355 Us-22 East, Springfield, NJ 07081 | 2019-10-11 |
| 1992355473 | Candace Bahk Kim | Chiropractor | 6225 Brandon Ave Ste 175, Springfield, VA 22150-2519 | 2019-09-16 |
| 1558826545 | Adrian Bryon Hunter | Chiropractor | 6130 Brandon Ave, Springfield, VA 22150-2610 | 2019-02-05 |
| 1720554959 | Revive Health and Injury Center, LLC | Chiropractor | 333 N Limestone St Ste 104, Springfield, OH 45503-4250 | 2018-10-15 |
| 1831693621 | Michael Benjamin Chiapetto | Chiropractor | 1340 S State St, Springfield, IL 62704-3625 | 2018-03-19 |
| 1134637382 | Gnr Chiropractic LLC | Chiropractor | 2700 W Lawrence Ave Ste J3, Springfield, IL 62704-7201 | 2018-01-22 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.